Wynne, Linda

Wynne, Linda is an individual health care provider with primary practice located at 815 Hallock Ave , Port Jefferson Station NY 11776-1220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wynne, Linda can be contacted via phone (631) 331-7267.

Contact Information

Primary practice address
815 Hallock Ave Port Jefferson Station NY 11776-1220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 006266-1 New York

Profile Details

NPI number 1043231699
LBN Legal business name Wynne, Linda
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Sep 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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